Affiliated Therapists
  • Home
  • Contact Us
  • About Us
    • Faith’s Personal Bio
    • David’s Personal Bio
    • Faith’s Professional Vita
    • David’s Professional Vita
  • Intake Forms
    • Intake Forms for Faith’s Clients
    • Intake Forms for David’s Clients
  • Treatment Methods
  • Services We Provide
    • Individuals
    • Intensives
    • Joint Therapy
    • Marriage Therapy
    • Spiritual Direction
  • Rates & Insurance
Select Page

 

 

Intake Forms for Faith’s Clients

If you are a new client, please complete the following forms and bring them to your first therapy session.

• Confidential Information (PDF)
• Payment Contract (PDF)
• Disclosure Statement (PDF)
• Consent Form (PDF)
• HIPPA Form (PDF)
• Acknowledgment of Receipt of Notice of Privacy Rights (PDF)
• Release to Use Unsecured Emails and Texts (PDF)

 

Copyright © 2021 All rights reserved. | Site designed by 

BrainStormes Creative